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学科主题: 口腔医学
题名:
Maxillary reconstruction with the free fibula flap
作者: Peng, X; Mao, C; Yu, GY; Guo, CB; Huang, MX; Zhang, Y
刊名: PLASTIC AND RECONSTRUCTIVE SURGERY
发表日期: 2005-05-01
DOI: 10.1097/01.PRS.000160691.63029.74
卷: 115, 期:6, 页:1562-1569
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Surgery
研究领域[WOS]: Surgery
关键词[WOS]: MAXILLECTOMY DEFECT ; OSSEOINTEGRATED IMPLANTS ; OSTEOCUTANEOUS FLAP ; FUNCTIONAL RECONSTRUCTION ; MANDIBULAR RECONSTRUCTION ; MIDFACE RECONSTRUCTION ; ARTERY
英文摘要:

Background: The objective of this study was to evaluate the outcomes of using the free fibula flap in the reconstruction of maxillary defects.

Methods: Thirty-four consecutive cases of maxillary reconstruction with the free fibula flap were reviewed. All clinical data were analyzed, including primary diseases, types of maxillary defect, free fibula flap design, perioperative complications, and follow-up results. The main postoperative functional indices, including oral diet, speech, type of dental restoration, and aesthetic results, were evaluated.

Results: Of the 34 patients who underwent maxillary reconstruction with the free fibula flap, the primary diseases were malignant tumor in 20 patients, benign tumor in 11 patients, and trauma in three patients. Free fibula flap transfer was successful in all cases. Postoperative complications occurred in five patients. Recipient-site wound infection occurred in two patients and donor-site wound dehiscence occurred in three patients. One patient with donor-site wound dehiscence had postoperative lameness. The oral and nasal cavities were separated well by the flap in all patients. The patients were able to take food orally and had no problems with speech intelligibility. Osseointegrated implants were placed in four patients, and complete conventional prostheses were applied in 19 patients. Excellent cosmetic results were obtained in 22 patients.

Conclusions: Alveolar arch defects can be reconstructed successfully using free fibula flaps. This procedure also allows for dental implant rehabilitation, which can improve the patient′s appearance and oral function and enhance the overall quality of life. The fibula free flap transfer has a high success rate and low perioperative complication rate, making it an ideal choice for maxillary defect reconstruction.

语种: 英语
WOS记录号: WOS:000228884600013
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/55327
Appears in Collections:北京大学口腔医学院_期刊论文

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作者单位: Peking Univ, Sch Stomatol, Dept Oral & Maxillofacial Surg, Beijing 100081, Peoples R China

Recommended Citation:
Peng, X,Mao, C,Yu, GY,et al. Maxillary reconstruction with the free fibula flap[J]. PLASTIC AND RECONSTRUCTIVE SURGERY,2005,115(6):1562-1569.
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